Telepsychology Forms

All of our online forms are secure and HIPAA compliant. Your privacy is our first priority.
 
 
 

Client Intake Form

Benefits & Risks of Telepsychology

Emergency Contact Authorization

Informed Consent Form

Emergency Plan Consent

Permission to Charge Credit/Debit Card

Learn valuable tips to practice at home in your very first session

Request an appointment with our team, and we’ll be in touch right away to schedule your first visit.

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Louisville Therapy Group, PLLC

2618 Pindell Avenue • Louisville, Ky 40217
(502) 501-6789

info@louisvilletg.com